Nursing homeActive
Great Oaks Rehabilitation And Healthcare Center
111 Chase Street, Byhalia, MS 38611662838367060 certified beds · 47 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2024
Deficiencies
22
● 0● 21● 1
Penalties · 3 yrs
$8,788
1 fine
Last survey
2026-05-20
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Mississippi State Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-20 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-06 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2025-06-25 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-05-22 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-10-01 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-05-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-04 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Mississippi State Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 255311-20260520-F640
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 255311-20251106-F580
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 255311-20251106-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 255311-20251106-F610
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 255311-20251106-F842
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 255311-20250625-F552
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 255311-20250625-F558
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 255311-20250625-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 255311-20250625-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 255311-20250625-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 255311-20250625-F690
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-11Record 255311-20250522-F689
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-07Record 255311-20241001-F602
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-07Record 255311-20241001-F725
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-14Record 255311-20240515-F580
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 255311-20240104-F578
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 255311-20240104-F640
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 255311-20240104-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 255311-20240104-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 255311-20240104-F677
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 255311-20240104-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 255311-20240104-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-22 | Civil money penalty | $8,788 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.40
Facility
Mississippi
National
Mississippi 0.64 · National 0.69
Total nurse hours per resident day4.32
Facility
Mississippi
National
Mississippi 4.18 · National 3.86
Weekend total nurse hours3.78
Facility
Mississippi
National
Mississippi 3.51 · National 3.42
Total nursing staff turnover64%
Facility
Mississippi
National
Mississippi 46% · National 46%
Registered nurse turnover57%
Facility
Mississippi
National
Mississippi 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Mississippi | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.1% | 6.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.2% | 21.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 2.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.2% | 20.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.7% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 43.1% | 23.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nexion Health Of Ohi Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bolt, Bretton Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Kirley, Francis Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Nexion Health Leasing, Inc. Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Nexion Health, Inc. Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Kirley, Francis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kirley, Francis Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kirley, Francis Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lee, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lee, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Oswald, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pierce, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Reid, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Riner, Meera Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Riner, Meera Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Nexion Health — 51 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Mississippi.
No county cost figures on file for Marshall.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Collierville Nursing And Rehabilitation, Llc Collierville | 12.5 mi | 2026-06-10 | 040 |
| The Suites At Jordan River Collierville | 12.5 mi | 2026-06-17 | 080 |
| Kirby Pines Manor Memphis | 14.5 mi | 2025-06-03 | 020 |
| The Village At Germantown Germantown | 15.3 mi | 2025-09-11 | 041 |
| Waters Of Memphis A Rehabilitation & Nursing Ctr Memphis | 16.8 mi | 2026-03-18 | 0100 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |